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Macrocomplexes: an establishing critical limits of post-PEG serum enzymes and proteins in adults and children

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00023001%3A_____%2F25%3A00085559" target="_blank" >RIV/00023001:_____/25:00085559 - isvavai.cz</a>

  • Alternative codes found

    RIV/00216208:11120/25:43928378

  • Result on the web

    <a href="https://www.sciencedirect.com/science/article/pii/S0009898125002050?via%3Dihub" target="_blank" >https://www.sciencedirect.com/science/article/pii/S0009898125002050?via%3Dihub</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.1016/j.cca.2025.120326" target="_blank" >10.1016/j.cca.2025.120326</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Macrocomplexes: an establishing critical limits of post-PEG serum enzymes and proteins in adults and children

  • Original language description

    Background: Exclusion of serum macroform presence is essential to avoid potential misdiagnosis. The aim of this study was to determine critical limits (CL) for enzymes (total and pancreatic amylase, AMY and pAMY; aminotransferases, AST and ALT; alkaline phosphatase, ALP; creatine kinase, CK; lipase, LIP; gamma-glutamyl transferase, GGT; lactate dehydrogenase, LDH) after polyethylene glycol (PEG) precipitation in children and adults. Methods: A total of 126 sera of patients suspected for macroenzyme presence (adults or children) was matched by serum enzyme activity of controls and all these sera were precipitated by PEG. PEG-precipitable activity ( %PPA) and CLs of %PPA were calculated for adults, children, and controls. Results: CLs of %PPA were substantially lower than common 60 % for ALP and CK in all subjects. Significant differences between adults and children were found for ALT and ALP (lower in children), and LIP and CK (higher in children). No meaningful correlation was found between initial enzyme activity and %PPA. Conclusions: Age specific CLs should be used for ALP, ALT, CK, and LIP. Generally accepted value of %PPA of 60 % may be used with caution for AMY, pAMY, AST, GGT, and LDH. A careful selection of CLs is needed for timely detection of macrocomplexes.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    20602 - Medical laboratory technology (including laboratory samples analysis; diagnostic technologies) (Biomaterials to be 2.9 [physical characteristics of living material as related to medical implants, devices, sensors])

Result continuities

  • Project

  • Continuities

    N - Vyzkumna aktivita podporovana z neverejnych zdroju

Others

  • Publication year

    2025

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    Clinica chimica acta

  • ISSN

    0009-8981

  • e-ISSN

    1873-3492

  • Volume of the periodical

    574

  • Issue of the periodical within the volume

    15 June 2025

  • Country of publishing house

    NL - THE KINGDOM OF THE NETHERLANDS

  • Number of pages

    7

  • Pages from-to

    "art. no. 120326"

  • UT code for WoS article

    001481468600001

  • EID of the result in the Scopus database

    2-s2.0-105003238359